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2025 ICD-10-CM code Q30.1

Agenesis and underdevelopment of the nose; congenital absence of the nose.

This code should be used only for congenital anomalies and not for acquired conditions affecting the nose.Accurate description of the severity and specifics of the anomaly is crucial for accurate coding.

Medical necessity is established by the presence of the congenital nasal anomaly impacting respiratory function and/or facial development, requiring medical or surgical intervention to improve airway patency, facilitate breathing, or correct facial deformity.

Obstetricians, neonatologists, pediatric surgeons, and craniofacial specialists may be involved in the diagnosis and treatment of this condition.

IMPORTANT:Q67.4 (Congenital deviation of nasal septum) is excluded.

In simple words: This code describes a baby born without a fully formed nose, or with a nose that is underdeveloped.This is a condition present at birth.

This ICD-10-CM code, Q30.1, classifies the congenital absence or incomplete development of the nose.It encompasses a spectrum of anomalies, ranging from partial underdevelopment to complete agenesis (absence) of the nasal structures.This code is specifically for use in classifying congenital conditions and is not applicable to acquired conditions or those resulting from trauma or disease processes.Note that this excludes congenital deviation of the nasal septum (Q67.4).

Example 1: A newborn infant is diagnosed with complete agenesis of the nose, requiring immediate surgical intervention for airway management., A child presents with a severely underdeveloped nose, impacting both breathing and facial aesthetics, prompting a multidisciplinary approach involving plastic surgery, ENT and respiratory therapy., During a routine prenatal ultrasound, a fetus is identified with a significant nasal anomaly that requires detailed fetal monitoring and consultation with specialists before birth.

Prenatal ultrasound images (if applicable), detailed newborn examination notes including photographic documentation of the nasal anomaly, surgical reports and pathology reports if surgery is performed, respiratory assessments documenting any difficulties, and genetic testing reports if conducted.

** This code may be used in conjunction with other codes to fully describe the associated anomalies and complications.The severity of the condition can range significantly.

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